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                                <option value="1904">1904</option>
                                <option value="1905">1905</option>
                                <option value="1906">1906</option>
                                <option value="1907">1907</option>
                                <option value="1908">1908</option>
                                <option value="1909">1909</option>
                                <option value="1910">1910</option>
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                                <option value="1912">1912</option>
                                <option value="1913">1913</option>
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                                <option value="1915">1915</option>
                                <option value="1916">1916</option>
                                <option value="1917">1917</option>
                                <option value="1918">1918</option>
                                <option value="1919">1919</option>
                                <option value="1920">1920</option>
                                <option value="1921">1921</option>
                                <option value="1922">1922</option>
                                <option value="1923">1923</option>
                                <option value="1924">1924</option>
                                <option value="1925">1925</option>
                                <option value="1926">1926</option>
                                <option value="1927">1927</option>
                                <option value="1928">1928</option>
                                <option value="1929">1929</option>
                                <option value="1930">1930</option>
                                <option value="1931">1931</option>
                                <option value="1932">1932</option>
                                <option value="1933">1933</option>
                                <option value="1934">1934</option>
                                <option value="1935">1935</option>
                                <option value="1936">1936</option>
                                <option value="1937">1937</option>
                                <option value="1938">1938</option>
                                <option value="1939">1939</option>
                                <option value="1940">1940</option>
                                <option value="1941">1941</option>
                                <option value="1942">1942</option>
                                <option value="1943">1943</option>
                                <option value="1944">1944</option>
                                <option value="1945">1945</option>
                                <option value="1946">1946</option>
                                <option value="1947">1947</option>
                                <option value="1948">1948</option>
                                <option value="1949">1949</option>
                                <option value="1950">1950</option>
                                <option value="1951">1951</option>
                                <option value="1952">1952</option>
                                <option value="1953">1953</option>
                                <option value="1954">1954</option>
                                <option value="1955">1955</option>
                                <option value="1956">1956</option>
                                <option value="1957">1957</option>
                                <option value="1958">1958</option>
                                <option value="1959">1959</option>
                                <option value="1960">1960</option>
                                <option value="1961">1961</option>
                                <option value="1962">1962</option>
                                <option value="1963">1963</option>
                                <option value="1964">1964</option>
                                <option value="1965">1965</option>
                                <option value="1966">1966</option>
                                <option value="1967">1967</option>
                                <option value="1968">1968</option>
                                <option value="1969">1969</option>
                                <option value="1970">1970</option>
                                <option value="1971">1971</option>
                                <option value="1972">1972</option>
                                <option value="1973">1973</option>
                                <option value="1974">1974</option>
                                <option value="1975">1975</option>
                                <option value="1976">1976</option>
                                <option value="1977">1977</option>
                                <option value="1978">1978</option>
                                <option value="1979">1979</option>
                                <option value="1980">1980</option>
                                <option value="1981">1981</option>
                                <option value="1982">1982</option>
                                <option value="1983">1983</option>
                                <option value="1984">1984</option>
                                <option value="1985">1985</option>
                                <option value="1986">1986</option>
                                <option value="1987">1987</option>
                                <option value="1988">1988</option>
                                <option value="1989">1989</option>
                                <option value="1990">1990</option>
                                <option value="1991">1991</option>
                                <option value="1992">1992</option>
                                <option value="1993">1993</option>
                                <option value="1994">1994</option>
                                <option value="1995">1995</option>
                                <option value="1996">1996</option>
                                <option value="1997">1997</option>
                                <option value="1998">1998</option>
                                <option value="1999">1999</option>
                                <option value="2000">2000</option>
                                <option value="2001">2001</option>
                                <option value="2002">2002</option>
                                <option value="2003">2003</option>
                                <option value="2004">2004</option>
                                <option value="2005">2005</option>
                                <option value="2006">2006</option>
                                <option value="2007">2007</option>
                                <option value="2008">2008</option>
                                <option value="2009">2009</option>
                                <option value="2010">2010</option>
                                <option value="2011">2011</option>
                                <option value="2012">2012</option>
                                <option value="2013">2013</option>
                                <option value="2014">2014</option>
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							年
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                                <option value="4">4</option>
                                <option value="5">5</option>
                                <option value="6">6</option>
                                <option value="7">7</option>
                                <option value="8">8</option>
                                <option value="9">9</option>
                                <option value="10">10</option>
                                <option value="11">11</option>
                                <option value="12">12</option>
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							月
						</span>
                        <!-- =E 月份 -->
						<span>
							<select id="idDay">
                                <option value="1">1</option>
                                <option value="2">2</option>
                                <option value="3">3</option>
                                <option value="4">4</option>
                                <option value="5">5</option>
                                <option value="6">6</option>
                                <option value="7">7</option>
                                <option value="8">8</option>
                                <option value="9">9</option>
                                <option value="10">10</option>
                                <option value="11">11</option>
                                <option value="12">12</option>
                                <option value="13">13</option>
                                <option value="14">14</option>
                                <option value="15">15</option>
                                <option value="16">16</option>
                                <option value="17">17</option>
                                <option value="18">18</option>
                                <option value="19">19</option>
                                <option value="20">20</option>
                                <option value="21">21</option>
                                <option value="22">22</option>
                                <option value="23">23</option>
                                <option value="24">24</option>
                                <option value="25">25</option>
                                <option value="26">26</option>
                                <option value="27">27</option>
                                <option value="28">28</option>
                                <option value="29">29</option>
                                <option value="30">30</option>
                                <option value="31">31</option>
                            </select>
							日
						</span>
                        <!-- =E 日期 -->
                    </div>
                </div>
                <!-- =E formItem -->
                <div class="formItem mb20">
                    <label for="" class="form_label">所在城市：</label>
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						<span class="mr10">
							<select id="idProvince">
                                <option value="10101000000">北京市</option>
                                <option value="10102000000">天津市</option>
                                <option value="10103000000">河北省</option>
                                <option value="10104000000">山西省</option>
                                <option value="10105000000">内蒙古自治区</option>
                                <option value="10106000000">辽宁省</option>
                                <option value="10107000000">吉林省</option>
                                <option value="10108000000">黑龙江省</option>
                                <option value="10109000000">上海市</option>
                                <option value="10110000000">江苏省</option>
                                <option value="10111000000">浙江省</option>
                                <option value="10112000000">安徽省</option>
                                <option value="10113000000">福建省</option>
                                <option value="10114000000">江西省</option>
                                <option value="10115000000">山东省</option>
                                <option value="10116000000">河南省</option>
                                <option value="10117000000">湖北省</option>
                                <option value="10118000000">湖南省</option>
                                <option value="10119000000">广东省</option>
                                <option value="10120000000">广西壮族自治区</option>
                                <option value="10121000000">海南省</option>
                                <option value="10122000000">重庆市</option>
                                <option value="10123000000">四川省</option>
                                <option value="10124000000">贵州省</option>
                                <option value="10125000000">云南省</option>
                                <option value="10126000000">西藏自治区</option>
                                <option value="10127000000">陕西省</option>
                                <option value="10128000000">甘肃省</option>
                                <option value="10129000000">青海省</option>
                                <option value="10130000000">宁夏回族自治区</option>
                                <option value="10131000000">新疆维吾尔自治区</option>
                                <option value="10132000000">香港特别行政区</option>
                                <option value="10133000000">澳门特别行政区</option>
                                <option value="10134000000">台湾</option>
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						</span>
                        <!-- =E 省份 -->
						<span class="mr25">
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                                <option value="10101010000">东城区</option>
                                <option value="10101020000">西城区</option>
                                <option value="10101030000">崇文区</option>
                                <option value="10101040000">宣武区</option>
                                <option value="10101050000">朝阳区</option>
                                <option value="10101060000">丰台区</option>
                                <option value="10101070000">石景山区</option>
                                <option value="10101080000">海淀区</option>
                                <option value="10101090000">门头沟区</option>
                                <option value="10101110000">房山区</option>
                                <option value="10101120000">通州区</option>
                                <option value="10101130000">顺义区</option>
                                <option value="10101140000">昌平区</option>
                                <option value="10101150000">大兴区</option>
                                <option value="10101160000">怀柔区</option>
                                <option value="10101170000">平谷区</option>
                                <option value="10101280000">密云县</option>
                                <option value="10101290000">延庆县</option>
                            </select>
						</span>
                        <!-- =E 市 -->
                    </div>
                </div>
                <!-- =E formItem -->


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